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Florida rates for HCPCS 95971

Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with simple spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional

Facilitymedian $44 · 10th–90th $32–$2820%20%10th90th$44Professionalmedian $49 · 10th–90th $36–$1050%20%10th90th$49$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $42.66 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $47.86 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $83.18
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $72.44 / $123.03
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $114.82
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $52.48